iosr-JDMS   Volume-16 ~ Issue-2 ~ February-2017

Abstract: Background: With recent advances in the field of caries research and diagnosis it is possible to remineralize early carious lesions or white spot. The present in vitro study was carried out to evaluate and compare the remineralization of artificially created subsurface enamel lesion, using three different remineralizing agents. Method: 60 enamel specimens were divided into 3 groups, with 10 control and 10 study specimens. After immersion in demineralizing solution for 48 hours the enamel specimens were treated with following remineralizing agents, Group A- mousse containing Casein phosphopeptide amorphous calcium phosphate (CPP-ACP), Group B- dentifrice containing functionalized...........

Keyword: CPP-ACP, f-TCP, Novamin, microhardness, remineralization.

[1]. Palti DG, Machado MA, Silva SM, Abdo RC, Lima JE. Evaluation of superficial microhardness in dental enamel with different eruptive ages. Braz Oral Res 2008; 22(4):31-5.
[2]. Silverstone LM. Structural alterations of human dental enamel during incipient carious lesion development. In: Proceedings of Symposium on Incipient Caries of Enamel, Nov 11-12, 1977
[3]. Reynolds EC, Cain CJ, Webber FL, Black CL, Riley PF, Johnson IH, Perich JW. Anticariogenicity of Calcium Phosphate Complexes of Tryptic Casein Phosphopeptides in the Rat. J Dent Res. 1995 Jun;74(6):1272-9.
[4]. Shen P, Cai F, Nowicki A, Vincent J, Reynolds EC. Remineralization of Enamel Subsurface Lesions by Sugar-free Chewing Gum Containing Casein Phosphopeptide-Amorphous Calcium Phosphate. J Dent Res. 2001 ;80(12):2066-70.
[5]. E.C.Reynolds, F.Cai, P.Shen, and G.D.Walker. Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouth rinse or sugar free chewing gum. J Dent Res. 2003; 82(3):206-11.

Abstract: Background: - In India, etiology of cirrhosis varies with geographical areas. Aim: - To evaluate etiological and clinical spectrum of cirrhosis in eastern Madhya Pradesh state of India. Methods: - The study includes 125 cirrhotic patients (aged >14yrs) diagnosed by clinical, biochemical and radiological parameters admitted in NSCB medical college, Jabalpur between 2009 and 2011. All patients underwent routine lab investigations, and tests for hepatitis B and hepatitis C virus. Tests for Autoimmune, Wilson's disease and Haemochromatosis were also done. Patients were treated and outcome was noted. Results: - Mean age was 52 ± 10 Years, male constituted 71.2% cases...........

Keywords: Cirrhosis, complications, etiology, India, outcome.

[1]. Nguyen GC, Segev DL, Thuluvath PJ. Nationwide increase in hospitalizations and hepatitis C among inpatients with cirrhosis and
sequelae of portal hypertension. Clin Gastroenterology Hepatol 2007;5:1092-1099.
[2]. Fuchs CS, Stampfer MJ, Colditz GA, et al: Alcohol consumption and mortality among women. N Engl J Med 1995; 332:1245-50.
[3]. Becker U, Deis A, Sorensen TI, et al: Prediction of risk of liver disease by alcohol intake, sex, and age: A prospective population
study. Hepatology 1996; 23:1025-9.
[4]. Runyon BA, Hoefs JC, Morgan TR: Ascitic fluid analysis in malignancy-related ascites. Hepatology 1988; 8:1104-9.
[5]. Gunnarsdóttir SA. Liver cirrhosis-epidemiological and Clinical Aspects. Inst of Medicine. Dept of Internal Medicine; 2008 May 19.

Abstract: Labour pain is among the most severe pain experienced by women. In developing nations, intramuscular opioids can be considered to overcome labour pain.The study is conducted to evaluate the efficacy of intramuscular Tramadol as a labour analgesic, labour accelerator and its effect on both mother and newborn. In this prospective study, 50 low risk primigravida patients who fulfilled the selection criteria of a full-term pregnancy with vertex presentation with good uterine contractions and already in active phase of labour were administered 50 mg Tramadol hydrochloride intramuscular injection and compared with 50 controls. The degree of pain relief in active stage of labour..............

Keywords: Apgar score, Labour analgesia, Tramadol HCL, injection delivery time, intramuscular opioids.

[1]. Rudra A. Issue 18 (2004). Article 3:1 of 2 Update in Anesthesia.
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[3]. Rickford WJK, Reynolds. Expectations and experiences of pain relief in labour. The Society for Obsteric Anethesiology & Perinatology (Abstracts); 163:1987 Halifaa, Novascotia.
[4]. Fieni S. Ageri C Kaihura CT et al. Perinatal effects of 2 analgesics, Tramadol chloryhydrate and Meperidine Chlorhydrate, when used during labour. Acta Biomedical de Pateneo Parmensa Supplement 2000; 71:397-400.
[5]. Pritchard JA, MacDonald PC and Gant NF, Williams Obstetrics, 7th ED., Norwalk, Appleton Century, Crofts, 1985:353 pp.

Abstract: Introduction:Nasal obstruction is one of the most common problems bringing patient to an ENT surgeon and deviated nasal septum is the most common cause of the problem. Yet there is no universally accepted classification of the septal deviation till now, for guiding the surgeon to do proper intervention in treating the problem. Various classifications were put forth by many surgeons, based on their clinical acumen and diagnostic imaging (like C.T. PNS), but none of them were accepted as a standard. In the present study, it has been attempted to classify the nasal septal deviation by clinical and Computerized.............

Keywords: Deviated Nasal Septum, Mladinaclassification, Cottle's classification, Ballenger's , Negus Classification.

[1]. Renner G J. Management of nasal fractures. OtolaryngolClin North Am. 1991;24:195–213.
[2]. Evaluation and Reduction of Nasal Trauma, Brian P. Kelley, B.S.,1 Cara R. Downey, M.D.,1 and Samuel Stal, M.D.SeminPlast
Surg. 2010 Nov; 24(4): 339–347
[3]. Murray J A, Maran A G. The treatment of nasal injuries by manipulation. J Laryngol Otol. 1980;94:1405–1410.
[4]. Daniel G. Becker, MD, Septoplasty and Turen Surgery, Aesthetic surgery ournal September 1 October 203 393.
[5]. Vainio-Mattila J. Correlations of nasal symptoms and signs in random sampling study. ActaOtolaryngal suppl. 1974;318:1–48.

Abstract: 'Tetralogy of Fallot' is the most common cyanotic heart disease and without surgical correction around 50% of children with TOF die within the first few years of life and survival beyond 30 years without surgery are uncommon. Uncorrected cyanotic heart disease in pregnancy carries a significant risk both for mother and foetus. With several anatomical defects and its physiological impacts; anaesthesia in such a patient become challenging. We reported the anaesthetic management of a patient with uncorrected TOF with severe preeclampsia posted for emergency caesarean section.

Keywords: Tetralogy of Fallot, pre-eclampsia, pregnancy, caesarean section

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Abstract: Introduction: Superficial fungal infections of skin are common worldwide. The etiological agents are varied with emerging resistance pattern especially among azoles. The present study aims to demonstrate the current trend of anti fungal resistance among superficial mycoses using the method of disk diffusion in a peripheral hospital. Materials and Methods: This prospective study was done at a Government zonal hospital from Nov 2015 to Nov 2016. 135 consecutive OPD patients of the department of Dermatology clinically diagnosed to have a fungal infection of skin and then confirmed on KOH mount were included. Skin scrapings were cultured on SDA and differential media. Isolate and identified species were further subjected to anti fungal sensitivity test using Itraconazole, Fluconazole, Ketoconazole and Voriconazole by the Disk diffusion method...............

Keywords:Superficial mycoses, Antifungal sensitivity test, emerging resistance, Ketoconazole, Fluconazole, Voriconazole, Itraconazole, Disk diffusion method.

[1]. Vandeputte P, Ferrari S, Coste AT. Antifungal resistance and new strategies to control fungal infections. Int J Microbiol
2012; 2012: 713687.
[2]. Pakshir K, Bahaedinie L, Rezaei Z, Sodaifi M, Zomorodian K. In vitro activity of six antifungal drugs against clinically important
dermatophytes. Jundishapur J Microbiol 2009; 2(4):158-63.
[3]. Brown G. D., Denning D. W., Levitz S. M. (2012). Tackling human fungal infections. Science 336, 647 10.1126/science.1222236.
[4]. Pfaller MA, Diekema DJ. Progress in antifungal susceptibility testing of Candida spp. by use of Clinical and Laboratory Standards
Institute broth microdilution methods, 2010 to 2012. J Clin Microbiol. 2012;50(9):2846-56.
[5]. Tumbarello M, Caldarola G, Tacconelli E, Morace G, Posteraro B, Cauda R, Ortona L. Analysis of the risk factors associated with
the emergence of azole resistant oral candidosis in the course of HIV infection. J Antimicrob Chemother. 1996; 38(4):691-9.

Abstract: For the gastrointestinal surgeon, the clinically most relevant form of peritonitis is secondary bacterial peritonitis that is peritoneal inflammation caused by loss of integrity of the gastrointestinal tract with consequent leakage of the intestinal contents into the peritoneal cavity. Despite advances in surgical techniques,antimicrobial therapy and intensive care support, management of peritonitis continues to be highly demanding, difficult and complex. This article attempts to study the etiology, clinical profile, aids to diagnosis and management of perforation peritonitis including management of complications encountered after surgery.

Keywords: Clinical study; intestinal perforation; peritonitis;appendix,Peptic perforation

[1]. Vagholkar KR. Therapeutic options in perforation peritonitis. Hospital Today 2011; 6(5):277-81.
[2]. Jhobta RJ, Attri AK, Kaushik R, Rajeev Sharma and AupamJhobta. Spectrum of perforation peritonitis in India-review of 504
consecutive cases. World journal of Emergency Surgery 2006, 1:26
[3]. Chouhan MK, Pande SK. Typhoid enteric perforaton. Br J Surg 1982; 69:173-5.
[4]. Jain BK, Arora H, Srivastava UK, Mohanty D, Garg PK. Insight into the management of non-traumatic perforation of the small
intestine. J Infect DevCtries 2010;4(10):650-54.
[5]. Patil PV, Kamat MM, Milan MH. Spectrum of perforative peritonitis-a prospective study of 150 cases. Bombay Hosp J. 2012;54:38-50.

Abstract: Aim: To Evaluate the efficacy of TLE regimen in prevention of mother to child transmission of HIV.Method: All women who tested positive for HIV and delivered between August 2013 to May 2015 were included in the study and was started on TLE regimen(Tenofovir 300mg,Lamuvidine 300mg, Efavirenz 600mg)at the earliest AN visit,and continued thereafter lifelong.The baby was started on syrup Nevirapine 2mg/Kg for 6 weeks of life and 12 weeks if the mother was started on ART later than 12 weeks of gestation.............

Keywords: ART,PPTCT,TLEregimen,Nevirapine

[1]. NACO annual report (2015)
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Pregnancy,JObstetGynecol India Vol. 60, No. 5 : September / October 2010 pg 395 – 402
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clinics: prospects and problems.AIDS. 2000 Jul 28; 14(11):1633-45.
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ObstetGynecol India Vol. 60, No. 3 : May - June 2010 pg 221-224.

Abstract: Background: Retinopathy is a major cause of morbidity in India. Present study was undertaken to correlate retinopathy and microalbuminuria in patients with type 2 diabetes mellitus and hypertension. Methodology: 100 patients of type 2 diabetes mellitus and hypertension fulfilling the inclusion criteria coming to OPD/Wards of MGUMST, Jaipur were recruited. They were subjected to detailed history (as per the performa), clinical and diagnostic examination. Data analysis was done using SPSS software. Results: 63.6% of microalbuminuria cases in hypertension group, 50% of microalbuminuria cases in diabetic group and 64.3% of microalbuminuria cases in combined group were associated with retinopathy............

Keywords: Retinopathy, hypertension, microalbuminuria, diabetes mellitus

[1]. Manaviat M, Afkhami M, Shoja M. Retinopathy and microalbuminuria in type II diabetic patients BMC Ophthalmol.BMC Ophthalmology. 2004; 4(1):9.
[2]. Varghese A, Deepa R, Rema M, Mohan V. Prevalence of microalbuminuria in type 2 diabetes mellitus at a diabetes centre in southern India. Postgraduate Medical Journal. 2001; 77(908):399-402.
[3]. Gupta A, Pal A, Nelson S. Study of Microalbuminuria in Hypertension. International Journal of Scientific Study. 2015; 3(2):32-39.
[4]. Busari OA, Opadijo OG, Omotoso AB. Microalbuminuria and hypertensive retinopathy among newly diagnosed nondiabetic hypertensive adult Nigerians. Niger J Clin Pract.2011; 14:436-9.
[5]. Biensenbach G, Zazgornik J. High prevalence of hypertensive retinopathy and coronary artery disease in hypertensive patients with persistent microalbuminuria under short intensive therapy. Clin Nephrol.1994; 41:211-218.

Abstract: A total of 50 patients with CNS tumors were evaluated clinically and by imaging techniques followed by intraoperative examination and histopathological evaluation of the resected tumor. The age of the patients ranged from 5 to 70 years with a peak between 30 and 50 years. Overall, males were more frequently affected than females, the male: female ratio being 1.4 :1. CNS neoplasms occurred predominantly intracranially 42 cases (84%), whereas the remaining 8 cases (16 %) were spinal (ratio: 5.25 :1) The commonest presenting symptoms were headache, motor weakness and seizures. Frontal lobe was the commonest intracranial.............

Keywords: CNS Tumors, Infratentorial, Spinal, Supratentorial.

[1]. Tamkeen Masoodi, Ram Kumar Gupta, J. P. Singh, Arvind Khajuria. Pattern of central nervous system neoplasms: a study of 106
cases jk- Practitioner Vol.17, No. 4 October-December 2012
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1996; 14 (2): 273-90.
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Neuropathology, 7th Ed., Arnold, London, 2002.
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Livingstone; 1991.

Abstract: Objectives: To compare the outcome of medical treatment and surgical treatment in liver abscess. Keywords: Liver Abscess, Chemotherapy-Percutaneous, Aspiration, Laparatomy And Drainage Methods: This was a hospital based prospective study over a period of 18months in cmch Coimbatore. Results: Out of 50 patients 17 patients were subjected to medical treatment alone and 6 of them needed aspiration because of poor response to antibiotic alone(failure rate of 36%) 26 patients were treated with aspiration and antibiotics showing 55%sucess rate after single aspiration,79%after two aspiration.............

[1]. Yost, Jon. "Amebiasis." Pediatrics in review/American Academy of Pediatrics 23.8 (2002): 293-294.
[2]. Malik, Ajaz A., et al. "Pyogenic liver abscess: Changing patterns in approach." World J GastrointestSurg 2.12 (2010): 395-401.
[3]. Carachi, Robert. "Bailey and Love's Short Practice of Surgery 25th Edition." (2009): 48-48.
[4]. Ochsner, Alton, Michael DeBakey, and Samuel Murray. "Pyogenic abscess of the liver: II. An analysis of forty-seven cases with review of the literature." The American Journal of Surgery 40.1 (1938): 292-319.
[5]. McFadzean, A. J. S., K. P. S. Chang, and C. C. Wong. "Solitary pyogenic abscess of the liver treated by closed aspiration and antibiotics: a report of 14 consecutive cases with recovery." British Journal of Surgery 41.166 (1953): 141-152.

Abstract: Introduction: Penetrating neck trauma involves trauma by a sharp object penetrating the skin and violating the platysma layer of the neck.These are both complex and challenging to manage. It is a common presentation in our hospital and their management requires a multidisciplinary approach. Objective: To analyse the etiology of cut injury neck amongst the tribalspresenting in Ear Nose and Throat (ENT) Department Rajendra Institute of Medical Sciences (RIMS), RANCHI during the period from October-2015 to December-2016. Design of study: Retrospective study (Record based)............

Keywords: Cut injury neck, tribals, etiology.

[1]. Penden, M., McGee, K. and Sharma, G. (2002) The Injury Chart Book: A Graphical Overview of the Global Burden ofInjuries. World Health Organization, Geneva.
[2]. Fagan, J.J. and Nicol, A.J. (2008) Neck Trauma. In: Gleeson, M., Ed., Scott-Brown's Otorhinolaryngology, Head andNeck Surgery, 7th Edition, Great Britain, Hodder Arnold, 1768.
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[4]. Cases.Bangladesh Medical Research Council Bulletin, 23, 87-90.
[5]. Herzog M, Hoppe F, Baier G, Dieler R. Injuries of the head and neck in suicidal intention. Laryngorhinootologie. 2005;84(3):176–81. doi: 10.1055/s2004825873. [PubMed] [Cross Ref]

Abstract: Introduction: Type I Tympanoplasty or Myringoplasty is commonly done under microscopy. But when performing transcanal myringoplasty under a microscope, the total circumference of the perforation can be difficult to confirm in patients where the external ear canal is narrow and/or protruded. This article discusses the experience of the authors in performing myringoplasty using endoscope. Material and Method: Transcanal endoscopic myringoplasty was performed on 35 ears in 21 patients with chronic otitis media and rest having dry central perforation..............

Keywords: Endoscopy, Myringoplasty, Perforation and Tympanic membrane.

[1]. Dennis SP. Endoscopic assisted middle ear surgery. In: Glasscock ME III, Gulya AJ, eds. Surgery of the Ear. 5th ed. Hamilton: Elsevier, 2003: 325-34.
[2]. Yuasa R, Suetake M, Kaneko Y, Kambayashi J. A New Simple Myringoplasty with the Use of Fibrin Glue. Cholesteatoma and Mastoid Surgery Fourth International Conference. Niigata, Japan, 1992:603-6.
[3]. Endoscope assisted myringoplasty Jadav SP et al Singapore medical journal 2009;50 (5):510
[4]. Thomassin JM, Korchia D, Doris JM. Endoscopic-guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope 1993; 103:939-43.
[5]. Tarabichi M. Endoscopic management of acquired cholesteatoma. Am J Otol 1997;18:544-9.

Abstract: Aims And Objective:To study various types of cervical carcinoma and correlate histopathological findings with the clinical presentation of the patient. Material And Methods:The present study is a prospective study done over a period of two years, carried out in the department of Pathology in a tertiary care hospital. Our study composed of cervical specimens in the form of biopsies and sections of cervix from hysterectomy specimens received in a tertiary care hospital. Out of 788 cervical specimen 112 (14.2%) were found malignant on histopathology..............

Keywords: Cervical,carcinoma,squamous,adenocarcinoma

[1]. Ferlay J, Soerjomataram I, Ervik M, Dikshit R,Eser S,Mathers C et al.GLOBOCAN 2012 v. 1,Cancer Incidence and Mortality
Worldwide:IARC Cancer Base No.11 (Internet).Lyon,France:International Agency for Research on cancer ;2013. Available from:
http://globocan.iarc.fr,accessced on 23rd july 2014.
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initiating agent. Lancet II.1982: 1370-1372.
[5]. Sinha P, Rekha PR, Subramaniam PM, Konapur PG, Thamilselvi R, Jyothi BL. A clinicomorphological study of carcinoma cervix.
National Journal of Basic Medical Sciences. 2011; 11(1): 4-7.

Abstract: Traditional Medicines derived from medicinal plants are used by about 60% of the world's population. Diabetes mellitus is a public health problem which leads to serious complications over time. Experimentally, many herbs have been recommended for treating diabetes. In most cases, however, the recommendations are based on animal studies and limited evidencesavailable about their clinical usefulness. This review focuses on herbal drugs and plants used in the treatment of diabetes. The search was done in various databases using the key terms diabetes..............

Keywords: Diabetes; diabetic complications; alternative medicine; medicinal herbs

[1]. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 2006, 3(11):e442.
[2]. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of
diabetes mellitus.World Health Organization, Geneva, 1999. Report Number: WHO/NCD/NCS/99.2.
[3]. Global report on diabetes.World Health Organization, Geneva, 2016.
[4]. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy.
World Health Organization, 2013. Report Number: WHO/NMH/MND/13.2.
[5]. Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, Di Angelantonio et al. Diabetes mellitus, fasting blood glucose
concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies.Lancet. 2010; 26;
375:2215-2222.

Abstract: Titanium has been serving as satisfactory material for manufacturing of dental implants. Titanium dental implants have disadvantages like corrosion, radiating ions to the human body as well as having many separate parts to be assembled. Also the need for high esthetic material especially for maxillary anterior region has inspired us to be in constant search of a new material which is esthetic in nature and also possess ideal properties of an dental implant material..............

Keywords: Dental implants, esthetics, osseointegration, titanium, zirconia

[1]. Brånemark, P.I.; Hansson, B.O.; Adell, R.; Breine, U.; Lindström, J.; Hallén, O.; Ohman, A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand. J. Plast. Reconstr. Surg. 1977, 16, 1–132
[2]. Smith, D.C. Dental implants: Materials and design considerations. Int. J. Prosthodont. 1993, 6, 106–117.
[3]. Parr, G.R.; Gardner, L.K.; Toth, R.W. Titanium: The mystery metal of implant dentistry. Dental materials aspect. J. Prosthet. Dent. 1985, 54, 410–414.
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[5]. Stejskal J, Stejskal VD. The role of metals in autoimmunity and the link to neuroendocrinology. Neuroendocrinol Lett. 1999;20:351–364.

Abstract: Introduction: Each year, more than 20 million people are injured and 1.17 million are killed due to road traffic accidents. The objectives of this study were to assess knowledge and practice towards car safety among people in the kingdom of Bahrain. Materials and Methods: A descriptive cross sectional study was conducted in different areas in Bahrain during July and August of 2013. Data was analyzed using SPSS, Qi-Square and T-test...............

[1]. The top 10 causes of death, [homepage on the Internet]. 2011 [cited 2013 Mar 15]. Available from: World Health Organization, Web site: http://www.who.int/mediacentre/factsheets/fs310/en/index.html
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Abstract: Chronic kidney disease (CKD) is an emerging public health problem worldwide, with increasing cost of healthcare particularly in third world nations like Libya. Hematological parameters are generally influenced in CKD and the effect increases with the stage of CKD. Hematological profiles are rarely investigated in CKD subjects in our population.This study was conducted to determine the hematologic profile in Libyan CKD subjects and to compare it in both hemodialyzed and pre-dialyzed patients. The study included 55 hemodialyzed CKD patients, 50 pre-dialyzed CKD patients, and 48 healthy controls..............

[1]. Levey AS, Atkins R, Coresh J, Cohen EP, Collins AJ, Eckardt KU, Nahas ME, Jaber BL, Jadoul M, Levin A, Powe NR, Rossert J, Wheeler DC, Lameire N, Eknoyan G, (2007). Chronic kidney disease as a global public health problem: approaches and initiatives – a position statement from Kidney Disease Improving Global Outcomes. Kidney Int; 7 2: 2 47–259. http://www.kdigo.org/pdf/Levey_ KI_2007.pdf (accessed May 18, 2012).
[2]. Farag YM1, Kari JA, Singh AK, (2012). Chronic Kidney Disease in the Arab World: A Call for Action. nephronClin Pract;121:c120–c123 DOI: 10.1159/000345149.
[3]. Alashek WA, (2013-2016) Epidemiology of dialysis-treated end-stage kidney disease in adults in Libya. PhD thesis, University of
Nottingham.
[4]. National kidney foundation (2002). K/DOQI Clinical Practical Guidelines for Chronic kidney Disease, Evaluation, Classification and
stratification. Am J. Kidney Dis; 39 (Suppl 1): 51-5266.
[5]. Grossman C, Dovrish Z, Koren-Morag N, Bornstein G, Leibowitz A. (2014). Diabetes mellitus with normal renal function is associated with anaemia. Diabetes Metab Res Rev 30(4), 291-296

Abstract: The preparation of motherhood starts with puberty and ends with menopause. In female, reproductive system has a great importance and proper menstruation maintains it. In this eradue to changing lifestyle, physical and mental stress women in the reproductive age group menstrual disorders like menorrhagia, dysmenorrhea, irregular menses, PCOD, endometriosis , adenomyosis, Dysfunctional uterine bleeding (DUB) etc. are increased which are mentioned in ayurvedic texts as Yonivyapada or Yoniroga and Artavadushti. It seriously affects health and happiness leading to disturbance in normal life schedule. It increased incidence of infertility also..............

Keywords: Menstrual disorders, Yonivyapada, Aartavadushti, virechana Karma.

[1]. Sushruta samhita, Sushruta Vimarshini- Hindi commentary Anantaram Sharma, Chaukhamba Publication, Varanasi, edition yr. 2013, sutrasthana, chapter no. 14, verse no. 10,Dalhana commentary, Pg. no. 65.
[2]. Vagbhata, Ashtangahridyam, Saroja- Hindi Commentry by Pro. Ravidatta Tripathi, Chaukhamba Sanskruta Publication, edition yr. 2016, sutrastana, chapter no.1, verse no.7Arrunadattacommentry.
[3]. Tripathi Brahmanand, Editor, Charak Chandrika (Hindi Commentary) on Charak Samhita, Chaukhambha Surbharti Prakashan, Sutrasthana, Chapter 15, Verse No.17.Sharangdharaacharya, Sharangdhar Samhita with dipikahindi commentary by Brahmanand Tripathi, reprint edition, Chaukhamba Surbharatiprakashan, chapter no. 5, verse no. 16.
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Abstract: Introduction:The abnormalities in patients with sickle cell anaemia (HbSS) result in multi- organ and systemic complications and clinical manifestations. The study aims at assessing and determining the correlates of the haematological and some clinical parameters in steady state adults with homozygous Hb S compared with adults with homogygous Hb A controls. Method: It is a cross-sectional study involving 83 subjects (58 patients and age- and sex-matched 25 Hb A controls).Patients aged 16 – 52 years with confirmed HbSS using cellulose acetate electrophoresis at pH8.4 in steady state and age and sex- matched HbAA apparently healthy controls were recruited..............

Keywords: Clinical assessment, haematological parameters, HbAA, HbSS, steady state.

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[4]. Evans E.A. and Mohandas. N. Membrane-associated sickle hemoglobin: a major determinant of sickle erythrocyte rigidity. Blood,
70, 1987, 1443-1449.
[5]. Bessinger T.A. Gillete P. N. Hemolysis in Sickle cell disease. Arch. Intern. Med. 133, 1974, 624-631

Abstract: The solitary fibrous tumor (SFT) is a rare soft tissue tumor that most commonly occurs in the pleura cavity. However, it has also been described in other sites of the body. A limited number of SFTs cases have been reported in the soft tissues of the oral cavity. The diagnosis depends on microscopic and immunohistochemical features, although imaging may help. Since this tumor shares a number of similar features with other mesenchymal lesions, the histological diagnosis of SFT may present with difficulties. Close follow-up over several years is recomended due to potential late local recurrence.We present, as we believe, the first case of an endosseous SFT, arising in the mandible.

Keywords: Solitary fibrous tumor; Oral cavity; Mandible

[1]. Klemperer P, Rabin C. Primary neoplasms of the pleura: a report of five cases. Arch Pathol. 1931;11:385–412.
[2]. Gold JS, Antonescu CR, Hajdu C et al. Clinicopathologic correlates of solitary fibrous tumors. Cancer. 2002;94:1057-1068. doi:10.1002/cncr.10328
[3]. England DM, Hochholzer L, McCarthy MJ. Localised benign and malignant fibrous tumors of the pleura: a clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13:640-658.
[4]. Perros P, Simpson J, Innes JA, Teale JD, McKnight JA. Non-islet cell tumour-associated hypoglycaemia: 111In-octreotide imaging and efficacy of octreotide, growth hormone and glucocorticosteroids. Clin Endocrinol. 1996;44:727-731. doi: 10.1046/j.1365-2265.1996.721542.
[5]. Alawi F, Stratton D, Freedman P. Solitary fibrous tumor of the oral soft tissues: a clinicopathologic and immunohistochemical study of 16 cases. Am J Surg Pathol. 2001;25:900–910.

Abstract: Health care in India as in many other countries is confronted with growing demand for medical treatment and services. The medical records must appropriately have all of the patients' medical history. Physicians must maintain flawless records, because this document serves a number of purposes. This study on hospital management system is design to transform the manual way of searching, sorting, keeping and accessing hospital information (files) into electronic medical record in order to solve the problem associate with manual method..............

Keywords: Advanced software in hospitals, managing data, administration, user friendly.

[1]. Olusanya Olamide.O,Elegbede Adedayo. W And Gunseye Abiodun. A, Design And Mplementation Of Hospital Management System Using Java[Internet].April 2015[Cited 2015 March 02];32-36.Available From: Http://Iosrjournals.Org/Iosr-Jmca/Papers/Vol2-Issue1/F0213236.Pdf
[2]. Dr. M. H. B. Ariyaratne, A Private Hospital Management System .[Internet].September 2010;33-37.Availabale From: Http://Webcache.Googleusercontent.Com/Search?Q=Cache:Sagwbvzxifwj:Sljbmi.Sljol.Info/Article/10.4038/Sljbmi.V1i0.3551/Galley/2987/Download/+&Cd=1&Hl=En&Ct=Clnk&Gl=In&Client=Firefox-B
[3]. Adebisi O.A, Oladosud.A,Busari O.A And Oyewola, Design And Implementation Of Hospital
[4]. Management System.[Internet].July 2015;Available From: Http://Www.Ijeit.Com/Vol%205/Issue%201/Ijeit1412201507_06.Pdf
[5]. Premkumar Balaraman, Kalpana Kosalram, E–Hospital Management & Hospital Information Systems –Changing Trends[Internet].May 2013,50-58.Availabale From

Abstract: Biodentine is new calcium silicate based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of the newer material, Biodentine as an apical matrix barrier in root end apexification procedure. This case reports present apexification and successful healing with the use of Biodentine as an apical barrier matrix.

Keywords: Apexification, apical barrier, Biodentine, periradicular healing

[1]. Abu-Hussein Muhamad ,Abdulgani Azzaldeen ,Abdulgani Mai( 2016); Single-Step Apexification with Mineral Trioxide Aggregate
(MTA) –Case ReportsJournal of Dental and Medical SciencesVolume 15, Issue 2, 49-53DOI: 10.9790/0853-15284953
[2]. Abu-Hussein M.,Abdulghani A.,Abu-Shilabayeh H.,(2013); Mineral Trioxide Aggregate (MTA) in apexification
ENDODONTOLOGY , 25(2) ,97-101
[3]. Abu-Hussein M.,Abdulghani A.,Abu-Shilabayeh H.(2014); Apexificatie met mineraal trioxideaggregaat (MTA): een casus .dental
tribune - netherlands edition oktober ,10-11
[4]. Abu-Hussein Muhamad , Jabareen Ayah , Abdulgani Mai , Abdulgani Azzaldeen (2016;)MANAGEMENT OF OPEN APEX IN
PERMANENT TEETH WITH CALCIUM HYDROXIDE PASTE Int J Dent Health Sci ; 3(1): 1305-1310
[5]. Abu-Hussein Muhamad*, Azzaldeen Abdulgani, Mai Abdulgani, Jabareen Ayah; Open Apex with Mineral Trioxide Aggregate-
Case Report,Journal of Dental and Medical SciencesVolume 15, Issue 10 Ver. VII (October. 2016), PP 81-87DOI: 10.9790/0853-
1510078187

Abstract: Hollow viscus injuries in abdominal trauma are frequently overlooked leading to increased morbidity and mortality. . The diagnosis of hollow viscus injury with advanced diagnostic tools and management of trauma by conservative and surgically by laparotomy Complications like wound infection, dehiscence, respiratory, renal injuries and pelvic fracture are properly managed by multi-specialty approach in our college to reduce..............

Keywords: Abdominal trauma ,hollowviscus injury pattern.

[1]. Hughes, T.M., Elton, C., Hughes, T.M.D. et al, The pathophysiology and management of bowel and mesenteric injuries due to blunt trauma. Injury. 2002;33:295–302.
[2]. Watts, D., Fakhry, S., EAST Multi-Institutional Hollow Viscus Injury Research Group. Incidence of hollow viscus injury in blunt
trauma: an analysis from 275,557 trauma admissions from the EAST Multi-Institutional Trial. J Trauma. 2003;54:289–294.
[3]. Allen, G.S., Moore, F.A., Cox, C.S. et al, Hollow visceral injury and blunt trauma. J Trauma. 1998;45:69–77.
[4]. Kurkchubasche, A.G., Fendya, D.G., Tracy, T.F. et al, Blunt intestinal injury in children: diagnostic and therapeutic considerations.
Arch Surg. 1997;132:652–658.
[5]. Nance, M.L., Peden, G., Shapiro, M.B. et al, Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma. J
Trauma. 1997;43:618–623.

Abstract: The present study had the objective to evaluate the efficiency of an ointment based on Copaifera L (copaiba) for the treatment of recurrent mouth ulcerations. After selected, the volunteers were divided randomly in two groups, one used the ointment based on copaiba oil and the other acetonide triamcinolone ointment, after 3 months the groups were inverted, that way, each one would be the their own control. The results showed that the utilization of the copaiba oil was effective on the reduction of pain and on the healing time.

Keywords: About five key words in alphabetical order, separated by comma (10 Italic)

[1]. ARMDA Oliveira, Abordagem diagnóstica da aftosa recorrente, master, Ciências biomédicas de Abel Salazar, Universidade do
Porto, 2013.
[2]. NR Pensin, C Pensin, CSN Miura, DDCF Boleta-Ceranto. Efeito de pomada de própolis em orabase para tratamento de ulcerações
aftosas recorrentes-um estudo piloto, Arq. ciências saúde UNIPAR, 13(3), 2009.
[3]. KT Silva, AC Marchi, M Soares-Maffei, EH Miranda, EL Cardoso-Júnior, JC Friedrich, DDCF Boleta-Ceranto. Avaliação do efeito
de pomada a base de casearia sylvestris para o tratamento de ulcerações aftosas recorrentes, Odontologia Clínico-Científica, 2017.
[4]. FA Pieri. Efeito (in vitro/ in vivo) do óleo de copaíba (Copaífera officinalis) sobre bactérias formadoras de placa dental em cães
(Canis lupus Familiaris), master, Universidade José do Rosário Vellano, Alfenas, 2007.
[5]. VGC Cury. Eficácia terapêutica da Casearia sylvestris sobre herpes labial e perspectiva de uso em saúde coletiva, Master,
Universidade Estadual de Campinas, Piracicaba, 2005.

Abstract: Chronic non healing ulcers are quite complicated and proper management involves an understanding of immunology, psychological ,nutitional issues, the pathophysiology and metabolic interface. wound dressing plays one of the important roles. It is therefore vital that the process and problems of wound healing should be increasingly addressed by all surgeons involved in the treatment of deep wound patients and in the identification of development and use of ideal wound repair material.............

Keywords: Collagen granule, conventional dressing ,non healing ulcer,comparative study.

[1]. Lazarus GS, Cooper DM, Knighton DR, et al. Definitions and Guidelines forAssessment of Wounds and Evaluation of Healing. Arch Dermatol 1994; 130;489-493.
[2]. John. W. Madden, Arnold. J Arem. Wound healing; biologic and clinical features. The biologic basis of modern surgical practice.
Edition XIII; Vol I;Page193.
[3]. Lazarus GS, Cooper DM, Knighton DR, et al. Definitions and Guidelines for Assessment of Wounds and Evaluation of Healing. Arch Dermatol 1994; 130;489-493.
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